The latest notice on 2022 medical insurance supplementary payment

In accordance with the unified deployment of the country,

The per capita financial subsidy standard for resident medical insurance in 2022 will be increased by 30 yuan,

reaching the annual per capita financial subsidy standard of 30 yuan. No less than 610 yuan;

Individual payment will be increased by 30 yuan simultaneously,

reaching an average of no less than 350 yuan per person per year.

Resident critical illness insurance will still be funded according to the original standards.

The "Notice" stipulates that the state-level finance department shall subsidize each city in accordance with regulations, and the municipal and county (city, district) finance departments must arrange financial subsidy funds in full and in time according to regulations. Implement the policy that employees in new employment forms and other flexible employment personnel are not subject to household registration restrictions when participating in insurance. For those who hold a residence permit and participate in local residents' medical insurance, all levels of finance must provide subsidies according to the same standards as local residents. Implement a classified subsidy policy for people in need to participate in insurance, provide full subsidy to extremely poor people, and provide fixed subsidy to subsistence allowance recipients, people who have returned to poverty, family members on the margins of subsistence allowance, and objects of monitoring and assistance to prevent return to poverty. The individual payments made by finance at all levels through medical assistance funds on behalf of eligible persons will be uniformly sent by the medical insurance department to special payment documents, the financial department will allocate funds, and the tax department will collect them. Starting from the new semester in the fall of 2022, the one-time individual payment policy for students on campus will be cancelled, and the payment and benefits will be unified according to the natural year.

Coordinate and give full play to the comprehensive protection effectiveness of basic medical insurance, critical illness insurance, and medical assistance, and consolidate and improve the level of residents' medical insurance benefits. Cities with conditions can further increase the proportion of hospitalization expenses within the scope of residents' medical insurance policies by appropriately increasing the proportion of residents' hospitalization expenses or reducing the level of personal burdens such as Class B drugs and high-value medical consumables. Establish and improve the outpatient support mechanism. By the end of 2022, we will fully establish a general outpatient coordination system for residents, do a solid job in ensuring the outpatient medication for hypertension and diabetes among urban and rural residents, and unify the basic categories and identification standards of chronic and special outpatient diseases across the province. Reasonably improve the level of coverage of maternity medical expenses under residents' medical insurance, support the three-child policy for insured residents, and promote long-term balanced development of the population.

The "Notice" clearly states that we will consolidate the effectiveness of national centralized procurement, provincial centralized procurement, and inter-provincial joint procurement of pharmaceuticals and consumables, and carry out the province's third batch of centralized procurement of drugs (specialized in proprietary Chinese medicines) and medical consumables. Take the lead in implementing the inter-provincial alliance procurement of traditional Chinese medicine pieces to reduce the burden on the people and promote the high-quality development of the traditional Chinese medicine industry. By the end of 2022, the total number of national and provincial (inter-provincial alliance) centralized drug collections will be no less than 350, and the total number of medical consumables will reach more than 18 categories. Continue to implement the policy of retaining medical insurance fund balances, comprehensively promote direct settlement of payments for selected drugs and medical consumables through centralized procurement, and increase the enthusiasm of medical institutions and pharmaceutical companies to participate in the reform.

Shandong will accelerate the construction of a five-level medical insurance handling and payment service system at the provincial, municipal, county, township and village levels, and achieve full coverage of medical insurance workstations (points), towns (streets) by the end of 2022. At the same time, combined with local realities, we will actively and steadily extend to villages (communities), "two designated" institutions, financial institutions, enterprises, schools, etc., and strive to create a "15-minute medical insurance service circle". Comprehensively promote service models such as online application, mobile application, self-service application, nearby application, and assisted application, and vigorously promote policy consultation service methods such as "one-click call", "one-step clearing", and "no problem". Build a province-wide medical insurance SMS service platform, implement the "one text message" working method, push medical insurance service information to the masses in a timely manner, and gradually enable the masses to consult online. Strengthen the standardization of medical insurance service windows, promote the implementation of systems such as first inquiry responsibility, acceptance of vacancies, and notification and commitment of certification matters, and achieve full coverage of standardized management of medical insurance service halls above the county level.

Optimize insurance payment services and improve payment facilitation. On the basis of the offline "one office joint operation" of medical insurance and taxation, with the help of the provincial integrated government service platform, AiShandong APP, AiShandong Youth e-Office and other channels, the online "one window" for insured person registration and payment functions has been realized All-in-one”. Actively promote the "one thing" theme integrated service for urban and rural residents to participate in insurance premiums and jointly provide "one thing for birth" services such as birth medical certificates, child vaccinations, household registration, insurance registration for urban and rural residents, and social security card applications.